Individual
ADRIA A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5880 STATE ROUTE 434, APT. D-6, APALACHIN, NY 13732-2467
(607) 429-9556
Mailing address
5880 STATE ROUTE 434, APT. D-6, APALACHIN, NY 13732-2467
(607) 429-9556
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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